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Only required for applications submitted by experienced researchers: 9. How do you rate the applicants own research profile?
Only required for applications for the Georg Forster Research Fellowship Programme: 10. To what extend are the expected results from the proposed research stay as well as the applied methods and techniques relevant for the future development of the applicant$s country of ori in?
&onsideration of ethical issues in relation to the research pro'ects in the (eorg )orster *esearch )ellowship Programme #+,*-,.$
%verview of ethical issues &please mark as applicable' (esearch on Human )mbryo/ *oetus /oes the proposed research involve human ,mbr os0 /oes the proposed research involve human )oetal 1issues2 &ells0 /oes the proposed research involve human ,mbr onic .tem &ells #h,.&s$0 /oes the proposed research on human ,mbr onic .tem &ells involve cells in culture0 /oes the proposed research on +uman ,mbr onic .tem &ells involve the derivation of cells from ,mbr os0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L (esearch on Humans /oes the proposed research involve children0 /oes the proposed research involve patients0 /oes the proposed research involve people not able to give consent0 /oes the proposed research involve adult health volunteers0 /oes the proposed research involve +uman genetic material0 /oes the proposed research involve +uman biological samples0 /oes the proposed research involve +uman data collection0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L -rivacy /oes the proposed research involve processing of genetic information or personal data #e.g. health" sexual lifest le" ethnicit " political opinion" religious or philosophical conviction$0 /oes the proposed research involve trac:ing the location or observation of people0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L (esearch on #nimals /oes the proposed research involve research on animals0 5re those animals transgenic small laborator animals0 5re those animals transgenic farm animals0 5re those animals non%human primates0 5re those animals cloned farm animals0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L +), -a e
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(esearch .nvolvin Developin /ountrie /oes the proposed research involve the use of local resources #genetic" animal" plant" etc$0 Is the proposed research of benefit to local communities #e.g. capacit building" access to healthcare" education" etc$0 I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L
Dual01se *esearch having direct militar use. *esearch having the potential for terrorist abuse. I &34)I*- 1+51 434, 3) 1+, 5637, I..8,. 5PPL9 13 -9 P*3P3.5L
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,ummary evaluation of ethical issues for the planned research pro"ect 1he ethical issues listed are not relevant for the planned research pro'ect. 1he points mar:ed 9,. are applicable to the planned research pro'ect. I attach a full explanation on how these aspects are being dealt with. 5n opinion from our ethics committee is required for the points mar:ed 9,.. In the event of funding" I will obtain this opinion in due time and send it to the 5lexander von +umboldt )oundation. I will also guarantee compliance with an constraints.
I herewith confirm the correctness and completeness of the above mentioned details.
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5ddress of the host institute #.treet" Postal &ode" &it 21own" &ountr $
&ontact data of the host institute #phone number" fax number" e%mail address$
I herewith confirm that all the facilities" equipment and consumables necessar to carr out the research pro'ect are available and that I am authorised to provide a wor:place for the applicant. I affirm that if sponsorship is granted the researcher will be covered b the same safet conditions as other researchers wor:ing at the institute. I will act as the applicants academic mentor and guarantee both the academic supervision of the pro'ect and the observation of the rules of good scientific practice #c.f. information for hosts on the +umboldt )oundation =s website$ as well as of legall %binding principles of scientific ethics in the context of supervision.
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